Telemonitoring to Improve Outcomes of Patients With Chronic Kidney Disease
Overview
- Phase
- Phase 3
- Intervention
- Not specified
- Conditions
- Chronic Kidney Disease
- Sponsor
- Minneapolis Veterans Affairs Medical Center
- Enrollment
- 601
- Locations
- 1
- Primary Endpoint
- composite clinical outcome (reduce risk of death, hospitalization, emergency room visits, admission to skilled nursing facility)
- Status
- Completed
- Last Updated
- 11 years ago
Overview
Brief Summary
The purpose of this study is to determine if the adoption of a chronic care model in conjunction with tele monitoring and case management can reduce the risk of death, hospitalization, emergency room visits, or admission to a skilled nursing facility in patients with chronic kidney disease compared to usual care.
Detailed Description
Chronic kidney disease (CKD) is a major public health issue. Approximately, 11% of the US population has CKD with an increased prevalence among individuals great than 65years. Many individuals with CKD go unrecognized because they are typically asymptomatic. Individuals with CKD have been demonstrated to have a greater risk for mortality, hospitalization and development of end stage kidney disease. Also, individuals with CKD consume a significantly greater proportion of health care expenditures compared to other patients. This study aims to determine if the adoption of a chronic care model in conjunction with telemonitoring and case management can reduce risk of death, hospitalization, ER visits or admission to a skilled nursing facility in patients with CKD compared to usual care. This study will use a randomized controlled trial. Few interventions have been demonstrated to improve clinical outcomes in patients with CKD. If successful, this study will enable the VA to provide high quality care to patients with CKD while potentially reducing the cost of providing care.
Investigators
Areef Ishani
Chief, Section of Nephrology; Associate Professor of Medicine
Minneapolis Veterans Affairs Medical Center
Eligibility Criteria
Inclusion Criteria
- •Enrolled at Minneapolis or St. Cloud Veterans Affairs Health Care System (VAHCS) or affiliated Community Based Outcomes Clinic(CBOC); Late eGFR within the VA system \<60 ml/min/1.73m2 -
Exclusion Criteria
- •Primary care provider unwilling to have participant included in study; unable to give consent; severe mental health condition; living in a nursing home
Outcomes
Primary Outcomes
composite clinical outcome (reduce risk of death, hospitalization, emergency room visits, admission to skilled nursing facility)
Time Frame: one year
Secondary Outcomes
- reduction of cost(one year)
- incidence of end stage kidney disease(one year)
- hospital re-admission(one year)
- Intervention group achieving National Kidney guideline values for blood pressure, glycemia, lipids, and hemoglobin(one year)